This free survey is powered by
  1. Surveys
  2. 2015
  3. July
  4. P
  5. PhysicianOne Urgent Care Survey
0%
Questions marked with an * are required Exit Survey
 
 
* What is your gender?
 
Female
 
Male
 
 
 
* Into which age range do you fall?
 
Under 18
 
18-34
 
35-49
 
50-64
 
65+
 
 
 
* Which of the following PhysicianOne Urgent Care locations have you visited? [Select all that apply]
 
Brookfield
 
Norwalk
 
Glastonbury
 
Ridgefield
 
Derby
 
Newtown
 
Norwich
 
Southbury
 
Groton

 
 
 
* During your visit to PhysicianOne Urgent Care, which of the following services were provided?
 
Lacerations and minor injuries (stitches, infected wounds, sprains, etc.)
 
Occupational Health / Workers' Compensation Services
 
Prefer Not to Answer
 
X-ray services
 
Lab Services (Strep throat, Urinalysis, Pregnancy, etc.)
 
General illness Exam (Fever, cold/flu, infections, etc.)
 
Other
 
 
 
* For services provided, how did you pay for your visit to PhysicianOne Urgent Care?
 
Insurance - Private (e.g. United Healthcare, Blue Cross Blue Shield, etc.)
 
Insurance - Medicaid / Medicare / Husky
 
Out of Pocket
 
Company Paid
 
Other
 
 
 
* What words come to mind to describe your experience at PhysicianOne Urgent Care?
   
 
 
Thinking about your arrival at an Urgent Care facility, what kind of impact would each of the following have on your experience?
No Impact at All [1] Slight Positive Impact [2] Some Positive Impact [3] Big Positive Impact [4] Huge Positive Impact [5]
* A time estimate for how long it will be before I see a medical care professional
* Automatic entry doors so that you don't have to touch door handles
* A layout that allows for a private conversation with staff at check-in
* A warm greeting from the staff when you arrive
* A medical care concierge to help sign you in and outline the process
* A sign showing costs for services
* Information about which medical care professionals are on duty
 
 
 
* Based on your personal experience at PhysicianOne Urgent Care, what, if anything, would you want to see changed or improved about arrival? It nothing then please write "nothing."
   
 
 
Thinking about the waiting area experience at an Urgent Care facility, what kind of impact would each of the following have on your experience?
No Impact at All [1] Slightly Positive Impact [2] Some Positive Impact [3] Big Positive Impact [4] Huge Positive Impact [5]
* Free coffee or tea
* A TV with information on healthy living
* A TV with mainstream programming
* A spacious waiting area with spread out seating
* Separate "sick visit" seating vs. "well visit" seating
* An open layout that removes the walls between you and the staff
* A play area for kids
* A water cooler with cold water
* Couches in the waiting area
* Mainstream magazines
* Mainstream music playing
* A free Wi-Fi connection
* Art from my local community
 
 
 
* Based on your personal experience at PhysicianOne Urgent Care and the images of some PhysicianOne Urgent Care locations below, what, if anything, would you want to see changed or improved about the waiting area? If nothing, then please write "nothing."
   
 
 
Thinking about the exam room at an Urgent Care facility, what kind of impact would each of the following have on your experience?
No Impact at All [1] Slight Positive Impact [2] Some Positive Impact [3] Big Positive Impact [4] Huge Positive Impact [5]
* Posters with health education information
* A warm greeting from the medical care professional
* A TV with a remote
* Art from my local community
* A TV with information on healthy living
* Sound proof rooms that keep conversations private
* Decorations for kids in a separate kid's exam room
 
 
 
* Based on your personal experience at PhysicianOne Urgent Care and the images of some PhysicianOne Urgent Care locations, what, if anything, would you want to see changed or improved about the exam room? If nothing, then please write "nothing."
   
 
 
Thinking about the discharge process at an Urgent Care facility, what kind of impact would each of the following have on your experience?
No Impact at All [1] Slight Positive Impact [2] Some Positive Impact [3] Big Positive Impact [4] Huge Positive Impact [5]
* The ability to fulfill common prescriptions right away at the facility.
* An explanation of next steps you should expect (billing, when to call for lab results, etc.)
* Receiving final instructions from the medical care professional that treated you
* A warm goodbye from the medical care professional and/or medical assistant
* Receiving final instructions from the medical assistant
 
 
 
* Based on your personal experience at PhysicianOne Urgent Care, what, if anything, would you want to see changed or improved about the discharge process? If nothing, then please write "nothing."
   
 
 
Below is an image of the layout and contents of a typical bill from PhysicianOne Urgent Care. Please rate this bill on the following attributes:
Strongly Disagree [1] Somewhat Disagree [2] Neither agree nor disagree [3] Somewhat Agree [4] Strongly Agree [5]
* It's easy to read
* The bill represents a clear summary of the visit
* It's easy to understand
* It's comprehensive
* Services provided are clearly listed
 
 
 
* Based on your personal experience at PhysicianOne Urgent Care and the images of the example bill below, what, if anything, would you want to see changed or improved about the billing? If nothing, then please write "nothing."
   
 
 
Thinking about prior visits to PhysicianOne Urgent Care, how would you rate your level of satisfaction with the following aspects of your experience?
Extremely Dissatisfied [1] Somewhat Dissatisfied [2] Neither Satisfied nor dissatisfied [3] Satisfied [4] Extremely Satisfied [5]
* Arrival
* Waiting Area
* Exam Room / Examination
* Check out / Discharge
* Billing
 
 
Please rate how each aspect of your experience with PhysicianOne Urgent Care below matched up vs. your level of expectations.
Far Worse than Expected [1] Somewhat Worse than Expected [2] Met my Expectations [3] Somewhat Better than Expected [4] Far Better than Expected [5]
* Clinic cleanliness
* Friendliness of support staff
* Kids play area in the waiting room
* Comfort of the exam room
* Comfort of the waiting room
* Selection of reading materials
* Wait time in the exam room
* Friendliness of medical professionals
* Checkout process
* Entertainment in the waiting room
* Wait time in the waiting area
* Check-in process
* Knowledgeable staff
* Clinic decor
* Billing
 
 
 
* From entering PhysicianOne Urgent Care to being discharged at the end of the visit, how much time do you expect to spend?
 
Less than 45 minutes
 
45-60 minutes
 
61-90 minutes
 
Greater than 90 minutes
 
 
 
* Into which ethnic group do you classify yourself?
 
Caucasian or White
 
African-American or Black
 
Hispanic or Latino
 
Asian
 
Other (Please Specify)
 
Prefer not to answer
 
 
 
* In what range does your household income fall?
 
Under $25,000
 
$25,001 - $49,999
 
$50,000 - $74,999
 
$75,000 - $99,999
 
$100,000 - $149,999
 
$150,000 - $199,999
 
Over $200,000
 
Prefer not to answer
 
 
 
* What is your highest level of education completed?
 
Some high school
 
High School Diploma
 
Some college
 
Associate Degree
 
Bachelor's Degree
 
Advanced Degree
 
Other
 
 
If you would like to enter for a chance to win a FitBit health tracker, please enter your contact information below. If you would prefer not to answer, simply click next to conclude the survey.
First Name : 
Last Name : 
Email Address :